Individual
JESSICA LAUREN GANCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-4378
(252) 847-9943
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
008413
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2023-01216
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
39802
SC
Other
Enumeration date
06/17/2016
Last updated
02/12/2024
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